Individual provider Active NPI

Kristina Nicole Prewitt

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1841140233
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10063022 Issued in OR
Practice address
10942 Gantry St
Boca Raton, FL 33428-4030
Phone
(305) 898-2249
NPI assigned
Feb 3, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11045596 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10063022 OR Primary

Addresses

Primary practice location

10942 Gantry St
Boca Raton, FL 33428-4030

Mailing address

10942 Gantry St
Boca Raton, FL 33428-4030
Phone (305) 898-2249

Other practice location 1

1925 NE Stucki Ave Ste 270
Beaverton, OR 97006-6950
Phone (971) 300-0654

Other practice location 2

13535 SW 72nd Ave Ste 170
Portland, OR 97223-8074
Phone (971) 300-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045596FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1841140233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10942 GANTRY ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284030",
            "telephone_number": "305-898-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10942 GANTRY ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284030",
            "telephone_number": "305-898-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 NE Stucki Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970066950",
            "country_code": "US",
            "telephone_number": "971-300-0654",
            "fax_number": "720-881-9063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13535 SW 72nd Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238074",
            "country_code": "US",
            "telephone_number": "971-300-0654",
            "fax_number": "720-881-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11045596",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10063022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.